Funny,Pcs,Random,$4,10,Decorations,,adlerenterprises.in,and,Straws,/big-brother-pere-heart/,Shapes,,Colors,Home Kitchen , Kitchen Dining , Kitchen Utensils Gadgets,Party 10 Pcs Funny Straws Time sale Random Party Decorations Colors and Shapes $4 10 Pcs Funny Straws Random Colors and Shapes, Party Decorations, Home Kitchen Kitchen Dining Kitchen Utensils Gadgets $4 10 Pcs Funny Straws Random Colors and Shapes, Party Decorations, Home Kitchen Kitchen Dining Kitchen Utensils Gadgets Funny,Pcs,Random,$4,10,Decorations,,adlerenterprises.in,and,Straws,/big-brother-pere-heart/,Shapes,,Colors,Home Kitchen , Kitchen Dining , Kitchen Utensils Gadgets,Party 10 Pcs Funny Straws Time sale Random Party Decorations Colors and Shapes

10 Pcs Funny Branded goods Straws Time sale Random Party Decorations Colors and Shapes

10 Pcs Funny Straws Random Colors and Shapes, Party Decorations,

$4

10 Pcs Funny Straws Random Colors and Shapes, Party Decorations,

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Product description

These are our crazy and funny drinking straws for party decorations!
Unlike other beautiful but stereotyped straws, these straws are shaped hilariously.
If you want to decorate an extrodinary and funny party, they can meet your needs!

Specification
Color: Random color
Size: 9.5 inch ~ 10.6 inch

Package Includes:
10 pcs straws in random color and shape

Application:
Party decorations and supplies
Classroom activities decorations
Amusing gifts for kids

Features:
frisky funny Shape
Washable and Reusable
Strong amp; Safe Material
10 pcs straws for daily use or parties

Our Service:
Quick message reply. We will try our best to serve for you. Do not hesitate to message us once you have any question about the product.
Warm Note:
The straws are made of PETG material, please do not put them into the liquid over 149℉.

10 Pcs Funny Straws Random Colors and Shapes, Party Decorations,

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Nausea, vomiting, and abdominal pain

HPI

Acid-Base Workshop: At the beginning of the conference year, multiple faculty members ran a workshop on acid-base abnormalities where we worked on identifying acid-base disturbances, determining primary respiratory or metabolic abnormalities, causes of such disturbances, and if compensation was appropriate. Perhaps one of the most challenging types of patients we encounter with an acid-base disturbance is an acidemic patient who we believe requires intubation. Below you will find a variety of resources on acid-base disturbances and more specifically, intubation and ventilation in this patient population. Read the case, consider reviewing the resources below, and think how you would approach this tenuous patient.


The Case:

A 23 yo F with a PMH of poorly controlled T1DM presents to your ED complaining of nausea, vomiting, and abdominal pain. She ran out of her insulin 3 days ago and didn’t have the funds to refill it. Her FS is 415 on POC testing.

Physical Exam

Vitals: 123/80, HR 120s, O2 98%, RR 32, Temp 98.2

General: sleepy but arousable to voice

HEENT: dry mucous membranes

Chest: CTAB, kussmaul breathing

Cardiac: regular rhythm, tachycardic

Abdomen: soft, NTND

Extremities: MAE

Labs

VBG: 7.03/14/65, Calculated Bicarb 5

BMP: 132/4.3/99/3/20/.09>423


What next?

You hang fluids and start an insulin drip, but the patient becomes progressively lethargic and has vomited twice despite anti-emetics. You decide you need to intubate. What next?

Questions

  1. What are the risks of intubating this patient?

  2. What would be your intubation strategy? Method, intubation medications, and things to pay attention to?

  3. Would you consider giving any additional medications (apart from paralytics or sedation medications) prior to intubating? If so, why, and what would be the dosing?

  4. What would be your ventilator settings?